# ADVANCED MSO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851926299
- **Authorized official:** MRS. LILI MANEEROD MHA (PRESIDENT)
- **Authorized official phone:** (626) 506-5564

## Contact information

- **Practice address:** 18800 AMAR RD STE B2, WALNUT, CA 91789-7100
- **Practice address phone:** (888) 998-9833
- **Mailing address:** 18800 AMAR RD STE B2, WALNUT, CA 91789-7100
- **Mailing address phone:** (626) 506-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2020
- **Last updated:** 03/05/2020